ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Twenty-one sports activities are recommended by the European Knee Associates (EKA) six months after total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Ready or Not; A Narrative Synthesis of Sports Medicine Practitioners' Practices During Return to Play in the Management of Musculoskeletal Injuries.European journal of sport science · 2025Pooled it
- Returning to running after total knee arthroplasty: a systematic review and a novel multimodal protocol.Musculoskeletal surgery · 2025Pooled it
- Major discrepancies in recommendations regarding long-term activity restrictions following knee replacement: a survey among Swedish physiotherapists.BMC musculoskeletal disorders · 2026Article
- ICF rehabilitation set responsiveness after total knee arthroplasty: a retrospective study.Frontiers in rehabilitation sciences · 2026Article
- Arthroplasty and Tennis: A Narrative Review.Orthopaedic journal of sports medicine · 2025Review
- Tibiofemoral axial rotation during the golf swing is influenced by total knee arthroplasty bearing type and foot rotation.Journal of experimental orthopaedics · 2025Article
- [Return to activity and return to sports after total knee replacement].Orthopadie (Heidelberg, Germany) · 2024Article
- Does high activity after total and unicompartmental knee arthroplasty increase the risk for aseptic revision?Archives of orthopaedic and trauma surgery · 2023Article
- No difference in sports participation and patient-reported functional outcomes between total knee arthroplasty and unicompartmental knee arthroplasty at minimum 2-year follow-up in a matched control study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Total knee arthroplasty improves sports activity and the patient-reported functional outcome at mid-term follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A relevant number of patients do not increase their engagement in physical, social and leisure activities at the medium-term after total knee arthroplasty: a prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Large variability in recommendations for return to daily life activities after knee arthroplasty among Dutch hospitals and clinics: a cross-sectional study.Acta orthopaedica · 2022Article
- Being active with a total hip or knee prosthesis: a systematic review into physical activity and sports recommendations and interventions to improve physical activity behavior.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022Review
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Authors and funding
7 authors.
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Abstract
purposeTo elaborate recommendations for sports participation following TKA among the members of the European Knee Associates (EKA).
methodsA prospective online survey was conducted among the members of the European Knee Associates (EKA). The European Knee Associates (EKA) are a section of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA). The survey investigated recommendations for 47 sports disciplines. Possible answers were: allowed, allowed if experienced, not allowed, no opinion. The survey was conducted separately for 4 specific time frames: within 6 weeks after TKA; 6-12 weeks after TKA; 3-6 months after TKA; and more than 6 months after TKA. Consensus among the respondents was then analyzed.
resultsEKA members (N = 120) participated in the survey. A high level of consensus was reached for a recommendation to allow 5 different sports in the first 6 weeks after TKA, 7 sports 6-12 weeks after surgery, 14 sports 3-6 months after TKA, and 21 out of 47 activities 6 months after surgery. In the first 6 weeks after TKA walking, stair climbing, swimming, aqua fitness, and static cycling were recommended. Six to twelve weeks after TKA, cycling on level ground and yoga were recommended in addition to the aforementioned activities. Further sports activities recommended beyond 12 weeks after TKA were: tennis doubles, golf, fitness/weight lifting, aerobics, hiking, Nordic walking and sailing. The sport for which the recommendation was "not allowed" following TKA was squash.
conclusionThe number of sports recommended by EKA surgeons increases stepwise over the postoperative time frames. The findings are regarded as clinically relevant as they may serve as a basis for answering patient questions on timing and giving recommendations for the resumption of sports activities following standard primary TKA and should be individualized by surgeons for their patients' expectations and goals. LEVEL OF EVIDENCE: V.
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